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95 PARC - Manage Tool of the Month Records Displayed

  • Form: Patient verification information  Free Download
    Jul 2008

    Check out this registration form used in an Emergency Department (ED) treatment room. Many patient access departments have moved to bedside registration in the ED.

    Download this document

  • This month's form: Inpatient notification process  Free Download
    Jun 2008

    See our breakdown on inpatient noncovered services forms and tips on when your patient access staff should use them.

    Download this document

  • Sample policy and procedure form  Free Download
    May 2008

    The following is an actual form the Albany Medical Center’s patient access team used as part of its policy and procedure.

    Download this document

  • Credit card consent form  Free Download
    Apr 2008

    The following is the form used by the Patient Access team at Copley Hospital in Morrisville, VT. The facility sees many international patients and strives to get a credit card number during their visit.

    Download this document

  • Job description and performance evaluation  Free Download
    Mar 2008

    Job description and performance evaluation

    Download this document

  • This month's form: Registration process  Free Download
    Feb 2008

    How one facility ensures registration accuracy with a checklist.

    Download this document

  • Copayment collection form  Free Download
    Jan 2008

    Copayment collection form

    Download this document

  • Supervisor, access services, ED job description  Free Download
    Dec 2007

    Find the right candidate by using this form.

    Download this document

  • St. Joseph/St. Mary's "short form" registration in ED  Free Download
    Nov 2007

    St. Joseph/St. Mary's "short form" registration in ED

    Download this document

  • Sample customer service apology letter  Free Download
    Nov 2007

    See how one facility says "I'm sorry" to its patients

    Download this document

  • Registration QA monthly tally-by employee  Free Download
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Download this document

  • Registration QA daily checklist  Free Download
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Download this document

  • Sample postdischarge call program  Free Download
    Sep 2007

    Sample postdischarge call program

    Download this document

  • Estimated ROI calculator  Free Download
    Sep 2007

    Estimated ROI calculator

    Download this document

  • Sample patient access incentives program  Free Download
    Aug 2007

    See our sample incentive program for employees and use it for your facility.

    Download this document

  • This month's form: Sample charity care application  Free Download
    Jul 2007

    The following is a sample charity care application form.

    Download this document

  • Important Message from Medicare notice form  Free Download
    Jul 2007

    The following is the revised "Important Message from Medicare" form.

    Download this document

  • Sample charity care income guidelines  Free Download
    Jun 2007

    The following are sample charity care income guidelines from a rural provider.

    Download this document

  • Proposed new ABN form  Free Download
    May 2007

    The following is the new ABN form that CMS has proposed.

    Download this document

  • Sample registration career ladder spreadsheet  Free Download
    Apr 2007

    The following training tool is a career ladder spreadsheet for patient access.

    Download this document

  • Sample payment arrangements form  Free Download
    Apr 2007

    The following is a sample payment arrangements form for your business office.

    Download this document

  • Patient flow coordinator job description  Free Download
    Mar 2007

    This tool will help you identify potential candidates for a new, unique position in your hospital.

    Download this document

  • Central registration auditor job description  Free Download
    Mar 2007

    The following is a central registration auditor job description.

    Download this document

  • Defining role of physician advisor  Free Download
    Oct 2006

    This tool identifies 10 questions to ask when defining the role of a physician advisor.

    Download this document

  • Training tool: Billing basics  Free Download
    Jan 2005

    A true or false about billing basics

    Download this document

  • Form: Patient verification information
    Jul 2008

    Check out this registration form used in an Emergency Department (ED) treatment room. Many patient access departments have moved to bedside registration in the ED.

    Login or Subscribe to download

  • This month's form: Inpatient notification process
    Jun 2008

    See our breakdown on inpatient noncovered services forms and tips on when your patient access staff should use them.

    Login or Subscribe to download

  • Sample policy and procedure form
    May 2008

    The following is an actual form the Albany Medical Center’s patient access team used as part of its policy and procedure.

    Login or Subscribe to download

  • Credit card consent form
    Apr 2008

    The following is the form used by the Patient Access team at Copley Hospital in Morrisville, VT. The facility sees many international patients and strives to get a credit card number during their visit.

    Login or Subscribe to download

  • Job description and performance evaluation
    Mar 2008

    Job description and performance evaluation

    Login or Subscribe to download

  • This month's form: Registration process
    Feb 2008

    How one facility ensures registration accuracy with a checklist.

    Login or Subscribe to download

  • Copayment collection form
    Jan 2008

    Copayment collection form

    Login or Subscribe to download

  • Supervisor, access services, ED job description
    Dec 2007

    Find the right candidate by using this form.

    Login or Subscribe to download

  • St. Joseph/St. Mary's "short form" registration in ED
    Nov 2007

    St. Joseph/St. Mary's "short form" registration in ED

    Login or Subscribe to download

  • Sample customer service apology letter
    Nov 2007

    See how one facility says "I'm sorry" to its patients

    Login or Subscribe to download

  • Registration QA monthly tally-by employee
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Login or Subscribe to download

  • Registration QA daily checklist
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Login or Subscribe to download

  • Sample postdischarge call program
    Sep 2007

    Sample postdischarge call program

    Login or Subscribe to download

  • Estimated ROI calculator
    Sep 2007

    Estimated ROI calculator

    Login or Subscribe to download

  • Sample patient access incentives program
    Aug 2007

    See our sample incentive program for employees and use it for your facility.

    Login or Subscribe to download

  • This month's form: Sample charity care application
    Jul 2007

    The following is a sample charity care application form.

    Login or Subscribe to download

  • Important Message from Medicare notice form
    Jul 2007

    The following is the revised "Important Message from Medicare" form.

    Login or Subscribe to download

  • Sample charity care income guidelines
    Jun 2007

    The following are sample charity care income guidelines from a rural provider.

    Login or Subscribe to download

  • Proposed new ABN form
    May 2007

    The following is the new ABN form that CMS has proposed.

    Login or Subscribe to download

  • Sample registration career ladder spreadsheet
    Apr 2007

    The following training tool is a career ladder spreadsheet for patient access.

    Login or Subscribe to download

  • Sample payment arrangements form
    Apr 2007

    The following is a sample payment arrangements form for your business office.

    Login or Subscribe to download

  • Patient flow coordinator job description
    Mar 2007

    This tool will help you identify potential candidates for a new, unique position in your hospital.

    Login or Subscribe to download

  • Central registration auditor job description
    Mar 2007

    The following is a central registration auditor job description.

    Login or Subscribe to download

  • Sample charity policy guidelines and sliding scale
    May 2005

    Use this sample when revisiting your charity care program.

    Login or Subscribe to download

  • Sample reconciliation report
    Dec 2004

    Sample reconciliation report

    Login or Subscribe to download

  • Form: Patient verification information
    Jul 2008

    Check out this registration form used in an Emergency Department (ED) treatment room. Many patient access departments have moved to bedside registration in the ED.

    Login or Subscribe to download

  • This month's form: Inpatient notification process
    Jun 2008

    See our breakdown on inpatient noncovered services forms and tips on when your patient access staff should use them.

    Login or Subscribe to download

  • Sample policy and procedure form
    May 2008

    The following is an actual form the Albany Medical Center’s patient access team used as part of its policy and procedure.

    Login or Subscribe to download

  • Credit card consent form
    Apr 2008

    The following is the form used by the Patient Access team at Copley Hospital in Morrisville, VT. The facility sees many international patients and strives to get a credit card number during their visit.

    Login or Subscribe to download

  • Job description and performance evaluation
    Mar 2008

    Job description and performance evaluation

    Login or Subscribe to download

  • This month's form: Registration process
    Feb 2008

    How one facility ensures registration accuracy with a checklist.

    Login or Subscribe to download

  • Copayment collection form
    Jan 2008

    Copayment collection form

    Login or Subscribe to download

  • St. Joseph/St. Mary's "short form" registration in ED
    Nov 2007

    St. Joseph/St. Mary's "short form" registration in ED

    Login or Subscribe to download

  • Sample customer service apology letter
    Nov 2007

    See how one facility says "I'm sorry" to its patients

    Login or Subscribe to download

  • Registration QA monthly tally-by employee
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Login or Subscribe to download

  • Registration QA daily checklist
    Oct 2007

    Hospitals can use this form when they perform manual Q&A.

    Login or Subscribe to download

  • Sample postdischarge call program
    Sep 2007

    Sample postdischarge call program

    Login or Subscribe to download

  • Estimated ROI calculator
    Sep 2007

    Estimated ROI calculator

    Login or Subscribe to download

  • Sample patient access incentives program
    Aug 2007

    See our sample incentive program for employees and use it for your facility.

    Login or Subscribe to download

  • This month's form: Sample charity care application
    Jul 2007

    The following is a sample charity care application form.

    Login or Subscribe to download

  • Discharge form
    Jul 2007

    The following is a summary of JCAHO standards for patient education and AMA standards for discharge.

    Login or Subscribe to download

  • Important Message from Medicare notice form
    Jul 2007

    The following is the revised "Important Message from Medicare" form.

    Login or Subscribe to download

  • Sample charity care income guidelines
    Jun 2007

    The following are sample charity care income guidelines from a rural provider.

    Login or Subscribe to download

  • Training tool: Sample financial assistance application
    Jun 2007

    The following is a sample financial assistance application used at one hospital.

    Login or Subscribe to download

  • Proposed new ABN form
    May 2007

    The following is the new ABN form that CMS has proposed.

    Login or Subscribe to download

  • Sample registration career ladder spreadsheet
    Apr 2007

    The following training tool is a career ladder spreadsheet for patient access.

    Login or Subscribe to download

  • Sample payment arrangements form
    Apr 2007

    The following is a sample payment arrangements form for your business office.

    Login or Subscribe to download

  • Patient flow coordinator job description
    Mar 2007

    This tool will help you identify potential candidates for a new, unique position in your hospital.

    Login or Subscribe to download

  • Central registration auditor job description
    Mar 2007

    The following is a central registration auditor job description.

    Login or Subscribe to download

  • Sample denial database summary report
    Jun 2006

    This form is an example of a summary report in one provider's denial database.

    Login or Subscribe to download

  • Sample denial problem-fixing tool
    Dec 2005

    This tool will help you find solutions for your denials.

    Login or Subscribe to download

  • Sample policies and procedures summary
    Dec 2005

    This checklist will help you identify issues to discuss with a vendor when negotiating the outsourcing of your collections.

    Login or Subscribe to download

  • Sample job description: Financial counselor
    Nov 2005

    This job description will help you select the most qualified financial counselor candidates.

    Login or Subscribe to download

  • Sample audit checklist
    Nov 2005

    The following is a sample checklist to navigate you through the audit process.

    Login or Subscribe to download

  • Sample ED copay form
    Sep 2005

    The following is a sample emergency department copay form.

    Login or Subscribe to download

  • Sample financial arrangements form
    Sep 2005

    The following is a sample financial arrangements form.

    Login or Subscribe to download

  • Sample variable deposit calculation
    Aug 2005

    This tool will help ensure that deposits are accurately and consistently determined.

    Login or Subscribe to download

  • Tell the plan about a denial's noncompliance
    Jul 2005

    Tell the plan about a denial's noncompliance

    Login or Subscribe to download

  • Sample accounting entries
    Jun 2005

    Sample accounting entries

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  • Sample job description: Customer service supervisor
    Jun 2005

    Sample job description: Customer service supervisor

    Login or Subscribe to download

  • Sample metric template
    May 2005

    Sample metric template

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  • Sample metric table
    May 2005

    Sample metric table

    Login or Subscribe to download

  • Sample job description: Manager (self-pay/customer service)
    Apr 2005

    Sample job description: Manager (self-pay/customer service)

    Login or Subscribe to download

  • Sample patient preregistration process script
    Mar 2005

    Sample patient preregistration process script

    Login or Subscribe to download

  • Medical Necessity Documentation Form
    Feb 2005

    Medical Necessity Documentation Form

    Login or Subscribe to download

  • Detailed revenue cycle metrics
    Feb 2005

    Detailed revenue cycle metrics

    Login or Subscribe to download

  • Training tool: Billing basics
    Jan 2005

    A true or false about billing basics

    Login or Subscribe to download

  • Sample assignment of auto med or premises med insurance benefit
    Jan 2005

    Sample assignment of auto med or premises med insurance benefit

    Login or Subscribe to download

  • Claims Tracking Report for Third-Party Payers
    Nov 2004

    Claims Tracking Report for Third-Party Payers

    Login or Subscribe to download

  • Sample average length of stay (ALOS) benefit analysis
    Nov 2004

    Sample average length of stay (ALOS) benefit analysis

    Login or Subscribe to download

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© 2008 Patient Access Resource Center, a service of HCPro, Inc.